Central Michigan University Libraries
STUDENT EMPLOYEE HANDBOOK
AND
EMERGENCY PROCEDURES
Procedures for use in the University Library, Clarke Historical Library, and Off-Campus Library Services
Revised August 2009
1 TABLE OF CONTENTS ALPHABETICAL DIRECTORY OF INFORMATION
I. STUDENT EMPLOYMENT POLICIES & PROCEDURES
Absences ………………………………………………………………………………. 5 Breaks and Meal Times…………………………………………………………………. 9 Grievance Procedure .………………………………….……………………………… 11 Non-Discrimination and Employment Practices ..……………………………………. 12 Payroll Procedures …………………………………………………………….……….. 9 Personnel Records……………………………………………………...……………….. 9 Personal Appearance and Demeanor Requirements……………….…………………… 5 Purpose of Student Employment .……………………………………………………… 4 Re-Employment ……………………………………………………………………….. 9 Safety Rules…………………………………………………………………………….. 6 Sexual Assault/Harassment (Policy on) ………………………………………………... 11 Student Employee Injury Reporting Policy …………………………………………….7 Student Personnel Records………………………………………………………………9 Telephone ………………………………………………………………………………. 10 Termination …………………………………………………………………………….. 10 Time Clocking Procedures……………………………………………………………. 8 Work Assignments and Schedules……………………………………………………… 4 Work Limits…………………………………………………………………………….. 8
II. PARK LIBRARY EMERGENCY PROCEDURES
Table of Contents………………………………………………………………………14
III. APPENDICES
2
I. PREFACE
You are one of approximately two hundred twenty-five student employees working in the Libraries. You are important to the operation of services throughout the Libraries. Be assured that the work you perform is appreciated both by other library personnel and by the library users we serve. In addition, you and your student assistant colleagues add a special spirit and help create a welcoming atmosphere that makes the Libraries hospitable. In return it’s our hope that you will derive benefits beyond your wages. You may gain experiences and relationships useful in your university life and later in your career.
This handbook is meant to be a ready reference for use on the job. Let us know if you have questions or comments.
Best wishes,
Thomas J. Moore Dean of Libraries
3 II. PURPOSE OF STUDENT EMPLOYMENT
A. It aids CMU functions that require part-time assistance in accomplishing tasks or goals.
B. It provides an employment opportunity whereby:
1. Student has the opportunity to earn funds to assist with educational expenses.
2. Student may gain practical experience related to various professions and careers, and may contribute to their field of study.
3. Student need for transportation is eliminated.
4. Student can start working as soon as they arrive on campus, if pre- hired or as a returning student employee.
5. Student can make important contacts at work that can help throughout their education at CMU and beyond.
6. Student taking a full-time schedule have no FICA withheld from their on-campus jobs, which adds more money to their paycheck during the academic year.
7. Student work schedule is adjusted to the class schedule.
III. WORK ASSIGNMENTS AND SCHEDULES
To work in the Libraries, students apply in the Library and then must be cleared by Student Personnel Services in the University Center. Employment applications are available in a convenient location adjacent to the Libraries’ Student Employment Office in room 407H, at the Information Desk, or at the Libraries’ website at www.lib.cmich.edu.
Work assignments are matched with vacancies according to the suitability of student schedules, job knowledge, and experience. All scheduling is done by the unit supervisor. In the case of a time conflict or schedule change, the department employee supervisor should be contacted.
There are certain requirements the student employee is expected to meet:
A. The student is assigned to a specific job for specific hours.
B. The student is expected to be on time; a work hour is a 60-minute hour.
4 C. The student may be expected to work on evenings and weekends or during University break periods.
D. The student may be required to attend an occasional student employee meeting. The student will be notified of the meeting and will be paid for attending. If the student is unable to attend, he/she must notify the supervisor in advance and explain the reason for the absence.
E. The student is expected to learn job duties and complete them as assigned.
F. The student is expected to work his/her assignment throughout the semester, including the final exam period. For conflicts during the period, see the section dealing with absences.
G. The course Library/English 197 may be required in some departments.
H. The student must sign a contract indicating he/she agrees to the terms of employment in the Library.
IV. ABSENCES
A. Students are required to notify his/her supervisor if they will be absent from their job. The use of substitutes and make-up time varies per individual department.
B. Even in the case of inclement weather, students are expected to be at the job site and ready to work their scheduled hours. If it is not possible to get to work because of the weather, students are expected to make arrangements with a supervisor or his/her designee. In the rare event that the University is closed due to weather conditions, an announcement will be made on WCEN (FM 94.5); WCFX (FM 95.3); WUPS (FM 98.5); WCMU (89.5); and WMMI (AM 830). An announcement will also be made on TV 9&10; TV 5; and TV 12. Students may also call 989-774- 7500 for closing information. Students are not eligible for pay due to time lost to inclement weather.
V. PERSONAL APPEARANCE AND DEMEANOR REQUIREMENTS
General guidelines for student employees are:
A. All employees must follow the Libraries Student Dress Code. Since most positions within the library involve working with the public or in the public areas, we expect student employees to adhere to certain expectations of appropriate dress. We want you to be aware of how you are presenting yourself to the public and your peers. We also expect all student employees to adhere to good standards of personal appearance and hygiene. Your clothing should not restrict or limit your ability to work.
5 All clothing should be neat and clean and undergarments are not to be exposed.
The following items are not considered to be appropriate work attire:
Hats, bandanas, visors or head scarves (unless they are being worn for medical or religious reasons) Headphones Spaghetti strapped tops, tube tops, or halter tops Muscle shirts Bare midriffs Extremely short shorts or miniskirts Pajama-type pants Clothing with offensive words or pictures Ripped or torn clothes
Footwear must be worn at all times. Additional policies regarding appropriate types of footwear are left to the student supervisors’ discretion.
Policies regarding the wearing and proper placement of nametags are left to the student supervisors’ discretion.
Please speak with your supervisor if you have any questions as to whether or not your attire is appropriate. Be prepared to be sent home to change if your clothing is not considered appropriate.
B. Working while under the influence of alcohol and/or drugs is forbidden and is grounds for termination.
C. Eating and drinking on the job are not permitted in public areas.
D. Smoking is not permitted.
VI. SAFETY RULES
All library employees should exercise caution when working with library equipment. The following steps should be taken to prevent injury:
A. Learn the safe and correct way to operate all equipment before using it.
B. Report faulty equipment to your supervisor.
C. Use your whole body, especially your legs, when picking up a heavy object.
D. Make sure when stacking boxes, shelving books, etc, that they are secure and properly arranged.
6 E. Do not run, especially when going around corners and through congested areas.
F. Be familiar with library safety and emergency procedures which begin on page 11 of this handbook.
G. Shoes: Appropriate foot covering is required at all times in all parts of the Libraries.
H. Material Safety Data Sheets (MSDS) on chemical hazards in the work place are available for students’ inspection in Environmental and Safety Services. 103 Smith Hall.
VII. STUDENT EMPLOYEE INJURY REPORTING POLICY
A. If you are injured while working notify your supervisor immediately. Supervisors are responsible for reporting the incident to the Worker’s Compensation Office (774-7177) immediately. A 24-hour injury reporting voice mail system is available to report injuries when the office is closed and during weekends. (See page 29 for CMU Procedures to Follow If You Are Injured.)
B. If you require medical treatment, you will be sent to the Wellness Central building, Central Occupational Medicine Program, at 2600 Three Leaves Drive in University Park, or Ready Care, in Central Michigan Community Hospital, South Drive, for medical/emergency treatment. If COMP and Ready Care are both closed or if the injury is life-threatening, you will be sent to the Central Michigan Community Hospital Emergency Room. If you choose to see your own physician, you will be responsible for any expenses incurred.
The Central Health Improvement Program (CHIP Facility) is available for treatment of minor muscle strains, sprains and bruises, basic first aid and rehabilitation or when an employee is unsure whether or not a physician is needed. The CHIP Facility is located on W. Campus Drive on the south grounds and is open Monday-Friday, 6:00 a.m. until 6:00 p.m. Call them with questions at 774-3198.
If you have been exposed to a possible blood borne pathogen, you will be sent to University Health Services for follow-up care during regular business hours. Call them with questions at 774-6599.
C. If you choose not to seek medical treatment immediately, but then decide some time later to see the workers’ compensation physician, inform your supervisor who will notify the Workers’ Compensation Office that you wish to seek medical attention for the injury. 7 D. Following your visit to the physician, contact the Workers’ Compensation Office at 774-7177. They will need to know if you have been taken off work, the expected date that you can return to work, or if you are able to work within specific restrictions. Also contact your supervisor.
E. You will receive a copy of the Employee Accidental Personal Injury Report to review and sign. It will then be sent back to the Workers’ Compensation Office. You may make a copy for your records.
VIII. WORK LIMITS
A student working in the Libraries is restricted in the maximum number of hours he/she can work.
A. A student under a College Work Study (CWS) or Michigan Work Study (MWS) program cannot exceed his/her total package, which starts during the first week of fall semester and ends after the last week of the spring semester. During the summer, work study packages are divided between Summer Session I and Summer Session II. Funds from Summer Session II are from the new fiscal year beginning on July 1.
B. A student’s weekly hours will not normally exceed 20 hours a week during the academic year, while employed at the Library. C. A student’s hours may be increased to 40 hours during break and summer periods at the request of, and with the approval of his/her immediate supervisor.
D. Students cannot work during a regularly scheduled class time. Student employees should notify their supervisor if a class is cancelled.
E. Students may not be employed in excess of 40 hours, total on-campus employment, per week and may not work in excess of 8 hours a day.
IX. TIMELINK CLOCKING PROCEDURES
Student employees are expected to follow these guidelines concerning time clock utilization:
A. Students will have a current CMU student ID in their possession during their work schedule. Not only is this ID required in order to clock in and out during the day, but is required for access for some areas in the Library.
B. Students are expected to clock in and out for each shift worked.
C. Students will only clock in and out for themselves and will not clock in or out for another employee. Doing so will be grounds for immediate dismissal.
8 D. Students will only use time clocks that are located in Park Library. Utilizing any other time clock on campus will be grounds for termination.
E. Students are paid by the minute so it is expected that you will clock in and out as close to your starting and ending time as possible.
F. Students should notify their supervisor of any errors in clocking.
X. PAYROLL PROCEDURES
A. All new employees must complete an I-9 form plus federal and state tax forms prior to their first day of work. These forms can be obtained at Student Employment Services in the University Center. The “Hire Authorization Card” given to them by Student Employment must be presented to their supervisor.
B. The pay rate for student employees will be at the University wage scale appropriate to the designated job classification.
C. Students finding errors in their pay checks should consult their supervisor.
D. Students are encouraged to have their checks automatically deposited. If they desire to do so, they should contact Payroll/Travel, Warriner 204, the Student Service Court in the University Center, or online at the controller’s website at www.controller.cmich.edu.
XI. BREAKS AND MEAL TIMES
A. A fifteen minute paid break is allowed for all student employees scheduled to work at least four consecutive hours. Break time must be taken during the four hour work period, with supervisory approval, and may not be used to cover any late arrivals or early departures. Break time may not be accumulated.
Student employees are required to take a 30 minute unpaid lunch if they are working an extended period of time in excess of 6 hours.
XII. RE-EMPLOYMENT
Employment is on a semester basis and all present employees interested in re- employment should discuss the possibility with the supervisor midway through the semester.
XIII. STUDENT PERSONNEL RECORDS
Personnel records are maintained by the University Student Employment Office on each student employee. The records will show a student’s history of employment with CMU. Student Employment will verify employment time frames when contacted by perspective employers.
9 XIV. TERMINATION
If for any reason a student wishes to terminate employment, a minimum of one week’s notice is to be given his/her supervisor.
The Library reserves the right to terminate any student for the following reasons:
A. Unsatisfactory performance
B. Dishonesty
C. Theft
D. Unexcused absences or lateness
E. Unsatisfactory conduct
F. Repeated tardiness or absences
G. Studying, reading, or socializing when other duties have been assigned
H. Inappropriate use of time clock and/or falsification of time clock information
I. Breach of confidentiality
J. Alcohol/Drug use during work.
Although a student may receive employment eligibility as a part of a financial aid package, he/she may be terminated if his/her performance is not acceptable.
XV. TELEPHONE
A. Telephones may be used only for calls relating to library business, unless permission is granted by the student employee’s supervisor. Personal cell phone use during work time may be prohibited in your work area and you should discuss this with your supervisor.
B. When answering the telephone, a student represents the Libraries and CMU. Please do the following:
1. Be pleasant and remember the Libraries’ business is service.
2. Answer as you are directed by your supervisor for your specific job.
3. If you cannot immediately respond to the call, ask the caller if you may put him/her on hold or if he/she prefers to be called back later.
10 4. Write down messages carefully.
5. Do not attempt to answer questions for which you have not been trained.
XVI. GRIEVANCE PROCEDURE
A. The student should meet with his or her supervisor and an earnest attempt should be made to resolve the problem.
B. If the student feels that the problem has not been satisfactorily resolved, he/she should discuss the problem with the department head or a designated representative.
C. If five business days pass without satisfactory results, the problem should be stated to the Associate Dean, Dean or Vice President to whom the department reports for appropriate resolution of the grievance. The Associate Dean, Dean or Vice President will take whatever steps are necessary to arrive at a settlement regarding the complaint.
XVII. POLICY ON SEXUAL ASSAULT/HARASSMENT
A. Sexual harassment is defined in the Michigan Civil Rights Act as “…unwelcome sexual advances, request for sexual favors, and other verbal or physical conduct or communication of a sexual nature when:
1. Submission to such conduct or communication is made a term or condition either explicitly or implicitly to obtain employment, public accommodations or public services, education, or housing.
2. Submission to or rejection of such conduct or communication by an individual is used as a factor in decisions affecting such individual’s employment, public accommodations or public services, education, or housing.
3. Such conduct or communication has the purpose or effect of substantially interfering with an individual’s employment, public accommodations or public services, education, or housing, or creating an intimidating, hostile, or offensive employment, public accommodations, public services, education, or housing environment.”
B. If a student assistant is aware of an incident of possible sexual harassment or believes that he/she has been the victim of sexual harassment, the student should report the incident to a library supervisor or to one of the following offices: Affirmative Action Office, Park 428, ext. 3450
Office of Student Rights and Responsibilities Life, Bovee UC, ext. 1345
11 XVIII. NON-DISCRIMINATION AND EMPLOYMENT PRACTICES
Affirmative Action Policy Statement
Central Michigan University, as an equal opportunity/affirmative action institution and employer, complies with federal and state laws prohibiting discrimination including, but not limited to, Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act. It is the policy of Central Michigan University that no person on the basis of race, sex, color, religion, national origin, ancestry, age, marital status, handicap, or Vietnam era veteran status, shall be discriminated against in employment, educational programs, facilities, activities, or admission. Title IX of the Education Amendments of 1972 prohibits sex discrimination in education programs or activities receiving Federal financial assistance. Inquires or complaints may be addressed to Affirmative Action Office, Park 428, Central Michigan University, (989) 774-3450.
12
13 Emergency Procedure Manual
Central Michigan University
Park Library
Revised August 2009
13 Table of Contents
I. Introduction A. Purpose B. Legal Compliance C. Authority Statement D. Plan Distribution E. Emergency Telephone Numbers F. 911 Calling Procedures G. Management Responsibility H. Training I. Applicable Information
II. Injuries/Accidents in the Facility A. Procedures to assist victim(s) B. Accidental Personal Injury Report Procedure C. Guidelines for Handling Injuries on Campus a. Immediate Attention Emergencies b. Handling and Reporting All Employee (including student employee) injuries c. Handling and Reporting All Student Injuries d. Handling and Reporting All Visitor (including students from other Universities) or Vendor Injuries e. General Reminders D. Accidental Personal Injury Report Form
III. Bomb Threats A. Procedures When Receiving a Threat by Telephone B. Bomb Threat Checklist C. Typical Characteristics of a Mail or Package Bomb D. Procedures When a Suspicious Article is Received by Mail E. Finding an Actual Explosive Device
IV. Severe Weather, Tornadoes A. Tornado/Severe Weather Information/Instructions B. Shelter Procedures C. Building Plans – Emergency Shelters D. Announcements
V. Fire A. Fire Prevention B. Procedures When a Fire is Found C. Routes Blocked by Fire D. Fire Safety Handout (ESS)
14 VI. Evacuation Procedures A. Procedures for Evacuation of the Facility B. Evacuation of Disabled Persons a. Wheelchair Users b. Mobility Impaired (Non-Wheelchair) c. Hearing Impaired d. Visually Impaired C. Departmental Evacuation Protocol Monday – Friday 8:00 a.m. – 5:00 p.m. D. Departmental Evacuation Protocol Evenings After 5:00 p.m., Weekends and Holidays
VII. Power Outages
VIII. Elevator Entrapment
IX. Water Leaks
X. Disturbances A. Violent/Dangerous Behavior B. Active Shooter C. Workplace Violence
XI. Chemical Releases
XII. Gas Leak
XIII. Emergency Medical Situations
XIV. Dealing with the Media
XV. Locations of Emergency Equipment (Floor Plan)
XVI. Terminating the Emergency
APPENDICES
A. State and Federal Regulations B. Emergency Action Plans, Exercise Evaluation Form C. Fire Drill Report Form
15 I. INTRODUCTION
A. PURPOSE
It is the intent of this manual to serve as a guideline for employee, student and visitor actions in the event of an emergency. Emergencies can happen without warning, at any time or any place. It is because of this reason that employees, students and visitors must familiarize themselves with the following procedures contained within this manual. By becoming familiar themselves with these procedures, one can help to minimize the dangers associated with an emergency situation. This manual provides information regarding procedures during emergencies such as:
• Accidents or Injuries • Tornadoes • Fires • Bomb Threats • Power Outages • Elevator Entrapment • Chemical Releases • Disturbances and Violent Behavior • Dealing with the Media
The following procedures will be applicable for all evacuations called for under the specific situations of this Plan.
B. LEGAL COMPLIANCE
This plan shall comply with the following Federal and State regulations:
• Occupational Safety and Health Administration (OSHA) Act; Section 5(a)(1) Duties • 29 CFR 1910.36 Means of Egress • 29 CFR 1910.38(a) Employee Emergency Plans and Fire Prevention Plans • 29 CFR 1910.159 Automatic Sprinkler Systems • 29 CFR 1910.164 Fire Detection Systems • 29 CFR 1910.165 Employee Alarm Systems
Michigan Occupational Safety and Health Administration (MIOSHA) Standards for general industry.
• Part 6 - Fire Exits • Part 8 - Portable Fire Extinguishers
General Industry Health Standards
• Chapter V - Rule 325.52101-.52137 Hazardous Waste and Emergency Response
16 C. AUTHORITY STATEMENT
The administration of Central Michigan University (CMU) recognizes that during emergency situations special procedures must be followed to control and mitigate an emergency. Therefore, the Administration, by acceptance of this Emergency Action Plan (EAP), grants authority to those responsible individuals and/or positions named in these procedures to implement and carry out the Plan to the termination of the emergency situation.
The Administration also recognizes that those individuals authorized to respond to emergency situations shall be properly trained in those procedures and emergency techniques such as: evacuation, first aid, use of fire extinguishers, and other areas as determined by their duties and responsibilities.
D. PLAN DISTRIBUTION
This emergency action plan shall be distributed to key individuals listed in this plan, with a master copy being maintained by Jon Kujat (Environmental & Safety Services Coordinator), located in Smith Hall 103. The plan shall be available for review by all employees, students and visitors.
The following is a list of the locations of this EAP as distributed to areas of the campus:
Department Location Smith 103 Environmental & Safety Services www.ess,cmich.edu/building.html
CMU Police Dispatch Office
E. EMERGENCY PHONE NUMBERS
Emergencies fall into two major categories—those for which you would call other library personnel for assistance, and those with which you must deal immediately by calling 911 before calling other people. Examples of emergencies that require calling 911 would be bomb threats, medical emergencies, and violent or dangerous behavior.
In the event of other emergency situations, contact the following:
• Business Services: 3347 Monday – Friday 8:00am – 5:00pm • Book Checkout Desk 3114 Weekdays after 5:00pm and weekends OR • Facilities Management Service Center 6547
17 F. 911 CALLING PROCEDURE
Use the following statement to provide the necessary information to the 911 dispatcher:
This is _____(Caller’s name)_____ calling from Park Library.
There has been an incident which requires emergency service. The phone number here is ______. (Do not hang up until 911 dispatcher says you may). The situation is ______(briefly explain the situation, i.e., fire, injured person, etc.).
G. MANAGEMENT RESPONSIBILITY
The Administration of Central Michigan University has the responsibility to ensure a safe environment for its employees, students and visitors to the University. As part of this responsibility, each supervisor has a responsibility to ensure that all personnel are evacuated in a timely and safe manner from the facility and to ensure that all personnel are accounted for following evacuation. The following will outline the responsibility of each level of management during an evacuation:
Park Library Emergency Coordinator:
The Emergency Coordinator serves as a primary liaison between Environmental & Safety Services (ESS), CMU Police, and employees, students and visitors within his/her respective building.
The Emergency Coordinator is the contact person for the building regarding emergency planning and preparedness. Emergencies may include natural disasters, bomb threats, power failures, medical emergencies, fires, hazardous material conditions. The Emergency Coordinator is also the primary communication contact by the university relative to matters affecting emergency action plans in his/her respective building and surrounding the facility.
Park Library Emergency Coordinators are Gerry Edgar, Manager Library Business Services, and Diane Thomas, Coordinator Access Services.
The Emergency Coordinator’s primary responsibilities include:
a) Communicating safety and/or emergency-related information to building occupants; b) Coordinating safety training and evacuation drills with ESS and CMU Police. Drills are to be conducted twice annually; c) Acting as a primary contact on behalf of building occupants with emergency personnel, such as CMU Police, Mt. Pleasant Police/Fire during an emergency situation or evacuation; d) Assisting ESS and CMU Police in the emergency or evacuation debriefing process, including effectiveness of alarms, emergency action plans, etc. e) Attending emergency/safety training sessions as required throughout the year.
18 f) Shall ensure that Park Library staff personnel are trained in proper evacuation methods through Park Library safety training and evacuation drills. g) Ensure that alarms are sounded in a timely manner when an emergency situation is encountered. h) Determine that all personnel on-site have been accounted for following an evacuation. i) Report status of evacuation to the Fire Department upon their arrival.
Supervisors
a) Ensure that they are familiar with the requirements of the Plan and their responsibilities during an evacuation of their assigned area(s). b) Ensure that personnel assigned to their area(s) are trained in the requirements of the Plan as it relates to them and procedures to follow during an evacuation. c) Determine any special evacuation needs or assistance that personnel within their assigned area(s) may have. d) Account for all personnel assigned to their areas following an evacuation and report this information to the Park Library Emergency Coordinator(s).
Employees / Students / Visitors
a) Be familiar with their responsibilities during an evacuation of their assigned work area(s). b) Assist their department supervisors as needed in the evacuation of other students/employees and visitors to a safe area.
H. TRAINING
As stated previously, all training will be conducted annually. People shall receive training concerning the emergency action plan to the level of their expected involvement.
Students and employees will receive training during their initial orientation and refresher training annually. The training shall include what responsibilities and actions are required by the plan for their area. All students and employees shall be trained whenever the plan is revised.
To ensure that the plan will meet the conditions at CMU and that all involved individuals will respond properly, the EAP will be tested on a regular basis. All drills and exercises of the EAP will be documented indicating the results of the exercise and any problems that were encountered.
19 I. APPLICABLE INFORMATION
1. Building Information
The original Park Library was completed in 1968, with a major renovation being completed in 2002. It is constructed of concrete, steel, block and glass with a brick and glass exterior. The Park Library is equipped with a sprinkler system (throughout the building) and an Inergen System in the Clarke Historial Library. The building encompasses an approximate total of 307,000 square feet.
2. Description of the Surrounding Area
a) To the North: Franklin Street Finch Fieldhouse, the University Art Gallery and the Bovee University Center b) To the West: Open mall/park area c) To the South: Brooks Hall and the Music Building d) To the East: Parking Lot #27
The most logical place for individuals to meet following an emergency of large scale (fire, bomb threat, etc.) is to the upwind side of the building, a minimum of 250 feet from the building. The open mall/park area to the west of the building may be applicable for this situation.
20 II. INJURIES / ACCIDENTS IN THE FACILITY
A. Procedures to assist victim(s)
Injuries are sometimes a part of work. Though usually not serious in nature, there is the possibility, so preparation for a serious injury incident is very important. The following procedure is to be used when a person has an accident / injury.
• Stop all activity around the injured person so as to prevent further injury. • Assess the situation. If the injury appears serious, call 911. • Do not move the injured person(s) unless they are in immediate danger, (fire, etc.). • Do not attempt to treat the injury unless it is necessary to ensure the health and well being of the injured person(s), AND YOU HAVE RECEIVED THE PROPER MEDICAL TRAINING, (severe bleeding, cpr, etc.) being sure to protect yourself from a possible exposure to Blood borne Pathogens through the use of personal protective equipment (latex gloves, etc.). • If the injured person is an employee call the Worker Compensation office at 774- 7177. If the injured person is a student or visitor call the Risk Management & Insurance office at 774-3741.
21 ACCIDENTAL PERSONAL INJURY REPORT
PROCEDURE
1. This form is to be used to document injuries other than workers' compensation (employee work related injuries and illnesses).
Call (989) 774-3198 or (989) 774-7177 to report workers' compensation incidents.
2. The injured person may seek medical treatment, if necessary, wherever he/she chooses.
3. If emergency medical assistance is needed or the injury is such that the individual cannot transport himself/herself, call 911 for assistance.
Report all serious injuries and safety hazards to one of the following:
CMU Police Emergency 911 Non-Emergency (989) 774-3081
Risk Management & Insurance (989) 774-3741
Environmental & Safety Services (989) 774-7398
4. The CMU employee who witnessed the accident/incident or was informed of the accident/incident is responsible for completing the Accidental Personal Injury Report and submitting it to the Risk Management and Insurance Office - Do not give this form to the injured person to complete.
Be observant - Attempt to get as much information as possible at the time of the incident. Relate only the facts on this form.
5. If the injured individual inquires how the medical bills will be handled, please provide the following information:
CMU’s insurance does not provide medical insurance coverage regardless of liability. The injured individual is responsible for his/her own medical expenses and should submit related medical bills to his/her own insurance company for coverage. Do not promise the bills will be paid by the University.
6. After Completion - Forward original (a copy is to be retained by the department) of this form to:
Risk Management & Insurance Central Michigan University Smith 103 Mt. Pleasant, MI 48859
OR
FAX TO: (989) 774-1303
7. Contact the Risk Management and Insurance office at (989) 774-3741 if you have questions regarding this procedure.
C:/MyDocuments/Web Docs/AccidPerInjuryRpt Revised 4/05/04 2 22 MANUAL OF UNIVERSITY POLICIES NNumber:umber: 3-3 PROCEDURES AND GUIDELINES Page 1 of 3
Title/Subject: Guidelines for Handling Injuries on Campus
Applies to: faculty staff students student employees visitors contractors
Effective Date of This Revision: June 1, 2004
Contact for More Information: Risk Management & Insurances, Central Health Improvement Program/Workers' Compensation
Board Policy Administrative Policy Procedure Guideline
The University has standard procedures for assisting individuals who need medical treatment as a result of an injury while on campus. Faculty and staff members handling these situations should use the following information.
A. Immediate Attention Emergencies:
For all emergency situations, phone 911 immediately for assistance. Indicate the nature of the problem, your identification and your specific campus location. Once the injured party is attended to and transported, report the incident immediately, following the appropriate procedures indicated below.
B. Handling and Reporting All Employee (including student employee) Injuries:
1. If non-emergency medical treatment is required, have the injured person go to the Central Occupational Medicine Program (COMP) at Wellness Central, 2600 Three Leaves Drive, from 8:00 a.m. to 4:00 p.m. Monday-Friday, or to Ready Care/CMCH Emergency Room, 1221 South Drive, if COMP is closed. Call CMU Police at 774-3081 in the event on-site assistance is needed. Faculty or staff members should NOT attempt to transport the injured person.
*If the injured employee/student employee chooses to see their own physician, they will be responsible for any expenses incurred.
2. Call the Workers’ Compensation Office at 774-7177 to report the incident. A 24-hour voice mail system is available to report incidents when the office is closed. There is no form for you to complete.
3. Give a detailed account of the incident including name of injured person, date, time, location, injury, description of what happened, the names of any witnesses and the phone number of the injured person’s supervisor.
4. Workers’ Compensation staff will send a completed incident report form to the supervisor or department designate for review and signature. Return the signed form to the Workers’ Compensation Office, South Grounds Building.
Authority: M. Rao, President History: No Prior History Indexed as: Guidelines for reporting injuries on campus; Injury Reporting on campus; Student injuries; Injuries to visitors; transportation guidelines for injured persons.
23 MANUAL OF UNIVERSITY POLICIES Number: 3-3 PROCEDURES AND GUIDELINES Page 2 of 3
Title/Subject: Guidelines for Handling Injuries on Campus
C. Handling and Reporting All Student Injuries:
1. Encourage the injured person to seek medical treatment if appropriate. The student may contact University Health Services Primary Care Suite at 774-6591 or go to Foust 104 for assistance between 8:30 a.m. and 4:30 p.m.
2. If the injured student is unable to transport him or herself for treatment, phone CMU Police at 774- 3081 for on-site assistance. Faculty and staff members should NOT attempt to transport the injured student.
3. Faculty or staff members providing assistance should inform the injured student that he/she is responsible for all medical expenses. The injured student should submit related medical bills to his/her own insurance company for coverage. DO NOT promise that bills will be paid by the University.
4. The faculty or staff member providing assistance must complete an Accidental Personal Injury Report form. Send the completed original form to the Director of Risk Management and Insurance, Smith Hall 103 and retain a department copy for your records. Accidental Personal Injury Report forms are available from the web page http://www.rmi.cmich.edu or http://www.ess.cmich.edu
D. Handling and Reporting All Visitor (including students from other Universities) or Vendor Injuries:
1. If appropriate, encourage the injured person to seek medical treatment with any off-campus medical provider.
2. If the injured person is unable to transport him or herself for treatment, phone CMU Police at 774- 3081 for on-site assistance. Faculty and staff members should NOT attempt to transport the injured person.
3. Injured individuals will be responsible for their own medical expenses. They should submit related medical bills to their own insurance company for coverage. DO NOT promise that bills will be paid by the University.
4. Faculty or staff member providing assistance must complete an Accidental Personal Injury Report form. Send the completed original form to the Director of Risk Management and Insurance, Smith Hall 103 and retain a department copy for your records. Accidental Personal Injury Report forms are available from the web page http://www.rmi.cmich.edu or http://www.ess.cmich.edu
General Reminders:
• NEVER CLEAN UP BLOOD OR FLUIDS CONTAINING BLOOD YOURSELF. Call the Facilities Management Service Center at 774-6547 for cleanup assistance.
• In all chemical exposure situations, the treating medical facility will be expecting a copy of the Material Safety Data Sheet (MSDS). The department must send them the MSDS immediately or as soon as reasonably possible following a chemical exposure--preferably by fax or with the injured person.
• In non-emergency situations, if the injured person is unable to transport self, call CMU Police at 774-3081 for on-site assistance.
24 MANUAL OF UNIVERSITY POLICIES Number: 3-3 PROCEDURES AND GUIDELINES Page 3 of 3
Title/Subject: Guidelines for Handling Injuries on Campus
• In all situations, it is the injured person’s right to deny transportation and/or treatment. The injured person may seek treatment with the medical provider of his/her choice.
• If you are in doubt about how to handle the situation, call CMU Police at 774-3081 for assistance.
• Anyone who is exposed or thinks they may have been exposed to blood should contact University Health Services at 774-6599 for instructions.
If you have questions or comments about these procedures, please contact:
Risk Management & Insurance 774 – 3741
Central Health Improvement Program/Workers’ Compensation 774 – 3198/7177
Central Michigan University reserves the right to make exceptions to, modify or eliminate this policy. This document supersedes all previous policies, procedures and directives relative to this subject.
25 Central Michigan University ACCIDENTAL PERSONAL INJURY REPORT Non-University Employee
Call Workers Compensation – (989) 774-3198 or 7177 to report Employee Work Related injuries & illnesses